HomeMy WebLinkAbout1995-07-12 Permit, New Septic System #007076CITY OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612)473-7357
SITE ADDRESS:
2760
j8
P. T . N . , 04— + 17—',: — i i,-0011
DESCRIPTION:
REMARKS:
FEE SUMMARY:
4
PERMIT
PERMIT TYPE:
Permit Number: WATER
WATER
Date Issued: 07/12/9S
COUNTRYSIDE OR W
'=ewer b Wat.er P rnii t. T y p e NEW :=-EPTIC SYSTE
`ewer :�!? Water WarF:: Cype RESIDENCF7
Base Fee
Surcharge ------ --1-55
Total Fee
CONTRACTOR:
CU"iVER HILL COMPANY
BOX 226
'HAKOPEE MN
L
- Applicant -
I NC 572:37155
55379
CITY [F f7r.0,10
VTr iA'r �E r1rrICE
13133�G�,ZiZ N
1LCLL V \' ry-'
V.4 L•LtU • V0 S
OWNER:
I G :N TONY
2760 COUNTRYS I DE DR W
ORONO MN 55356
THE: UNDER.3I GNED HEREBY REQUESTS PERM I SS I CIN T1_IMAKE THE REAL I MPROV►=. MF: ,, T:_:
SPECIFIED AND AGREES T� i DO ALL WORK IN '_:TR I C:,I CAIMPLIANCE WITH ALL CITY 13F
ORONO ORDINANCES AND :.;TATE OF M I NNE SUA F:( -J11 DING CHIDE REQUIREMENTS.
APPLICANT'PERMITEE SIGNATURE
��
ISSUED BY SIGNATURE
11